Healthcare Provider Details

I. General information

NPI: 1801343116
Provider Name (Legal Business Name): CVS ALBANY, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2016
Last Update Date: 02/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 NEPPERHAN AVE
YONKERS NY
10703-1414
US

IV. Provider business mailing address

ONE CVS DRIVE MAIL CODE 1090
WOONSOCKET RI
02895-6146
US

V. Phone/Fax

Practice location:
  • Phone: 914-377-8444
  • Fax:
Mailing address:
  • Phone: 401-765-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNY

VIII. Authorized Official

Name: SUSAN COLBERT
Title or Position: SR. DIRECTOR-PAYER RELATIONS
Credential:
Phone: 401-765-1500